Organization
THE PETERSBURG MEDICAL CENTER
Active
Other names
Petersburg General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP J HOFSTETTER AUD (CEO)
(907) 772-4291
Entity
Organization
Contact information
Practice address
103 FRAM STREET, PETERSBURG, AK 99833-0589
(907) 772-4291
(907) 772-3085
Mailing address
PO BOX 589, PETERSBURG, AK 99833-0589
(907) 772-4291
(907) 772-3085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS09IP
—
AK
05
—
HS09OP
—
AK
Enumeration date
02/08/2006
Last updated
12/19/2023
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